Staas, Elizabeth E.

Staas, Elizabeth E. is an individual health care provider with primary practice located at 131 N. Main St. , Marysville OH 43040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Staas, Elizabeth E. can be contacted via phone (937) 642-1254.

Contact Information

Primary practice address
131 N. Main St. Marysville OH 43040
Phone: (937) 642-1254
Fax: (937) 642-2806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1000277 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101076 Ohio

Profile Details

NPI number 1629233655
LBN Legal business name Staas, Elizabeth E.
Credentials LSW CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Dec 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629233655 NPPES
Ohio MEDICAID MC1705

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